Louisiana Department of Health & Hospitals | Kathy Kliebert, Secretary

Statewide Initiatives

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Adopted from the Mississippi Deparment of Health and the Mississippi Lung Association, F.L.A.R.E. is an evidence‐based asthma education discharge protocol that helps hospitals implement the patient education components of the National Institutes of Health (NIH) Guidelines for the Diagnosis and Management of Asthma. F.L.A.R.E. includes five key messages to help asthma patients better manage their disease:

F ---  Follow up with a primary doctor
L --- Learn about asthma medications
A --- Asthma is a life-long disease
R --- Respond to warning signs that asthma is getting worse
E --- Emergency care may be needed if certain symptoms occur

The Louisiana F.L.A.R.E. Asthma Discharge Protocol Program for rural hospitals provides the patient with a delivery system that emphasizes patient education. The patient is connected to a medical home to receive follow-up care upon discharge from the hospital or emergency department. In the Louisiana F.L.A.R.E Model , the patient is presented to the hospital for inpatient or emergency department care; then provided asthma treatment from a healthcare provider that has been trained on the Expert Panel Review-3 Asthma Guidelines. Upon discharge, the patient receives education from the hospital clinician and/or respiratory specialist and is then referred to the clinic for follow-up care and education through the fax referral process.

The Louisiana F.L.A.R.E. Overview provides valuable information about the state's efforts to provide trainings to hospitals who are interested in targeting patients who are hospitalized or presented to emergency room for care on a consistent basis. Many of these patients are uninsured or underinsured and providing this evidence-based program will assist hospitals in reducing unneccessary hospital admissions.

The Patient-Centered Flow Chart illustrates how the Louisiana Asthma Surveillance Collaborative restructed F.L.A.R.E. for Louisiana to establish it as a proactive approach to reaching patients who were discharged from hospital inpatient or emergency department care. The Louisiana Asthma Management and Prevention Program provides participating hospitals and clinics with F.L.A.R.E documents for inpatient and emergency department discharge that provide education around how to avoid thing that may worsen their asthma as well as introductory information on how to better manage their asthma. Once the patient is referred to the clinic, the clinical staff will provide the patient with self-management education, further instructions on how to manage their asthma based on the Expert Panel Review-3 Asthma Guidelines, education on medication compliance, complete an asthma action plan with each patient and schedule a follow-up appointment to continue to assess the patient's ability to manage their asthma.

Morehouse General Hospital was the first rural hospital to participate in the Louisiana F.L.A.R.E. Asthma Discharge Protocol Program in 2011-2012. To learn more about their efforts, download the Louisiana F.L.A.R.E. Asthma Discharge Protocol Pilot Program Report here.